多节段布鲁菌性脊柱炎与脊柱结核MRI特征分析  

MRI features of multi-segmental brucella spondylitis and spinal tuberculosis

作　　者：伍彦辉 董春娇[1] 赵国芳 郭立杰[1] 赵辉[1] 邢卫红[1] Wu Yanhui;Dong Chunjiao;Zhao Guofang;Guo Lijie;Zhao Hui;Xing Weihong(Department of Radiography, Shijiazhuang Fifth Hospital, Shijiazhuang 050000, China;Department of Radiography, Shijiazhuang Second Hospital, Shijiazhuang 050000, China)

机构地区：[1]石家庄市第五医院放射科,河北石家庄050000 [2]石家庄市第二医院放射科,河北石家庄050000

出　　处：《临床荟萃》2021年第4期348-352,共5页Clinical Focus

基　　金：河北省医学科学研究课题计划——布鲁菌性脊柱炎影像学特征与临床分析的相关性研究(20210494)。

摘　　要：目的探讨多节段布鲁菌性脊柱炎(BS)及脊柱结核(ST)在MRI中的不同影像特点,从而提高早期诊断及鉴别诊断水平。方法回顾性分析33例由临床或病理确诊为多节段BS患者、30例多节段ST患者,根据两者MRI表现,分析其发生部位、椎体形态、周围组织情况及伴随征象。结果多节段BS患者的椎体形态、椎间盘受累、后凸畸形、死骨及钙化、椎旁脓肿等所占比例与多节段ST患者的差异性具有统计学意义(P<0.05)。结论多节段BS与ST的MRI表现有不同征象,MRI有助于两者进行鉴别诊断。Objective To explore the different imaging characteristics of multi-segment brucella spondylitis(BS)and spinal tuberculosis(ST)in magnetic resonance imaging(MRI),so as to improve the level of early diagnosis and differential diagnosis.Methods Retrospective analysis was performed in 33 patients with multi-segment BS and 30 patients with multi-segment ST,who were diagnosed clinically or pathologically.Lesion location,vertebral body shape,surrounding tissues,and accompanying signs were studied according the different manifestations on MRI.Results The proportion of vertebral morphology,intervertebral disc involvement,kyphosis,sequestrum and calcification,paravertebral abscess were significantly different between the patients with multi-segmental BS and the patients with multi-segmental ST(P<0.05).Conclusion MRI findings of multi-segment BS and ST are different,MRI is helpful in differential diagnosis.

关 键 词：脊柱炎 结核 脊柱 布鲁杆菌科 磁共振成像 

分 类 号：R455.3[医药卫生—运动医学]